Abstract of cases in which pseudo-membranous substances have been discharged from the bowels / by William Thomson.

  • Thomson, William, 1802-1852.
Date:
[1836 or 7]
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Licence: Public Domain Mark

Credit: Abstract of cases in which pseudo-membranous substances have been discharged from the bowels / by William Thomson. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    It docs not appear, that the formation of an albuminous exu- dation on the mucous membrane of the alimentary canal, neces- sarily indicates a very high degree of inflammatory action ; nor is there anything in its particular seat which renders it, as in the case of croup, a source of considerable danger to the patient. Hence it is, that comparatively few post mortem examinations have been recorded in cases of this kind. Those which I have been able to find I have placed together under a separate head, without reference to the particular characters which they exhi- bited. A very important feature of distinction between the different cases that are to be detailed, will be found to be, that in some the discharge of pseudo-membranous substances was preceded or accompanied by discharges of blood, in greater or less quan- tity ; in some by discharges of purulent matter, and in some by both bloody and purulent discharges, whilst in other cases, nei- ther pus nor blood have appeared in the evacuations. Are we entitled to infer that in the latter cases the mucous membrane was entire, and that in the former it was abraded or ulcerated ? Series I. Cases in which Pseudo-membranous substances have been discharged from the bowels, on a single occasion. 1. Bianchardus de Triplici Intestinorum polypo, quorum longiorem nonnulli hactenus unicum vermem crediderunt. Lan- cisii Opera, Tom. ii. p. 33. 2. Dr Percival, Miscellaneous Communications; Mem. Med. Society of London, ii. CO, (1789.) 3. Valentinus, Observatio admiranda de ejectione membrana- rum sanguinolentarum per secessum formam viperae referendum. Venet. 1621. Referred to by Haller in his Bibl. Medic. Pract. ii. 497. 4. Heurnii Vita ad edit. Oper. Omnium prefix. Lugd. Bat. 16.58. 5. Fernelius, Pathologiae Lib. vi. cap. ix. Intestinorum morbi, causae et signa. 6. J. J. Treyling, Vagina Enteromorpha, per anum excreta. Acta Phys. Med. Nat. Cur. v. 436, obs. 126. 7. Molinelli Comm. Bonon. Scient. Acad. ii. p. L Medica, Obs. ii. p. 158. 8. M. Destrees. Journ. Gcner. de Medecinc, lxviii. 206. 9. Nic. Tulpius, Interior Intestini tunica, excreta—Observ. Med. Lib. iii. cap. xvii. 10. Morgagni, Epist. xxxi. Art. 19. 11. Apini de Abscessu Tunicae Intestinalis Glandulosae; Ephem. Med. Phys. German. Dec. iii. Ann. ix. et x. Obs. 179, p. 815.